Nurses' perspectives on inpatient falls in a large academic hospital in South Africa.

Christine Rogers, Athene Irving
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Abstract

Background: Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety.

Objectives: The aim of the study was to explore ward nurses' attitudes, knowledge and practices regarding the use of falls risk assessment tools, institutional falls policy and falls prevention.

Methods: A survey design was used. All permanent ward nurses were eligible to participate, and a convenience sample was used.

Results: Nurses endorsed the Morse Falls Scale, recommended by institutional policy, as effective in reducing falls and indicated that incident reporting measured progress on monitoring fall events. Falls prevention training was scanty; however, nurses were keen for further education of falls.

Conclusion: Effective falls risk management needs to extend beyond promulgating policy and actively address nursing and patient education.Contribution: This study adds to the sparse literature regarding nursing practice and falls prevention in a developing country. Recommendations for change have been made.

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南非一家大型学术医院的护士对住院病人的看法不一。
背景:跌倒风险评估工具,包括莫尔斯跌倒量表,已经使用多年,但跌倒仍然是医院的主要不良事件。护士是预防跌倒的关键角色,可以维护患者的安全。目的:本研究旨在探讨病房护士在使用跌倒风险评估工具、机构跌倒政策和跌倒预防方面的态度、知识和实践。方法:采用调查设计。所有的长期病房护士都有资格参加,并使用了一个方便的样本。结果:护士们认可机构政策建议的莫尔斯跌倒量表在减少跌倒方面有效,并表示事件报告衡量了跌倒事件监测的进展。跌倒预防培训不足;然而,护士们热衷于对跌倒进行进一步的教育。结论:有效的跌倒风险管理需要超越颁布政策,积极解决护理和患者教育问题。贡献:这项研究增加了关于发展中国家护理实践和跌倒预防的稀疏文献。已经提出了改变的建议。
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